KIMBERLY M EICKMEIER DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

Title

DPM

First Name

KIMBERLY M

Last Name

EICKMEIER

Business Name

KIMBERLY M EICKMEIER DPM

Original Issue Date

07/03/1995

Effective Date

12/27/2022

Expiration Date

01/31/2025

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026